HomeMy WebLinkAbout2044 Churchill Ct - Permits/Patio Cover Or Sun Shade - 11/13/2006N
Community Planning &Environmental Services BUILDING PEWIT
Building & Inspections Division
PERMIT FEES
�- P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
CityCityofF�ort phone (970) 221-6760 Fax (970) 224-6134 B0604926
ACCOUNT
FEE"'
DATE PAID
JOB SITE ADDRESS2044
PERMIT DATE
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PERMITTYPE
PERMIT LEVEL
CATEGORY TYPE-BUt
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Last Name, First, Middle Initial
Consfuction Type
Occupancy Group
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Coanty SalesJI'se iaz
11
$1 .
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Bi / l J i;i
AddreisT
City/State
�p No. of Stories
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Building Height
Zip
Phone No.
Building Square Footage
Stock
PIanJOpfions
_Z Right Side Setback Left Side Setback
Z •
Q Plat File No. ZBA Case Number Zoning District rn (See reverse side for Inspection Description)
Subdivision/PUD Filing
a SBF FYB SFI
ROSSBIDAOqqw Lot o4-4
ck Lot Area Parcel No. F r
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Mechanical
License No.
O
Roofing
License No.
Framing
License No.
O
U
m
D
Plumbing
License No.
to
Concrete
License No.
CONSTRUCT 121 SQ FT PATIO COVER
8
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
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name
Da e TOTAL FEES